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Organization

ERIC E. MARTIN, DDS, PC

Active
Other names
Kids Dental Barn
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC MARTIN DDS (PRESIDENT/PEDIATRIC DENTIST)
(801) 676-8899
Entity
Organization

Contact information

Practice address
12391 S 4000 W STE 204, RIVERTON, UT 84096-7015
(801) 676-8899
Mailing address
12391 S 4000 W STE 204, RIVERTON, UT 84096-7015
(801) 676-8899

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
49554449923
UT

Other

Enumeration date
03/29/2011
Last updated
03/29/2011
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